Special Populations Flashcards

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1
Q
During a severe illness or hospitalization, a child sometimes moves backward in development. What is another term for this?
 Behavior
 Developmental task
 Regression
 Emotional issue
A

Regression

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2
Q

Which of the following is true of pediatric patients?
Pediatric patients include infants through 12 years of age.
Families are typically not a big part of a pediatric patient’s support system.
Pediatric patients are just like “little adults.”
They have special needs and must be cared for differently than adults.
Read Question

A

They have special needs and must be cared for differently than adults.

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3
Q
Which of the following is an appropriate time reference for young children?
 Later
 At 8:00 tonight
 Before bed
 At 8:00 PM
A

Before bed

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4
Q
At what age in social development do children show a preference for gender-specific toys?
 Infant
 Toddler
 Early childhood
 Middle childhood
A

Toddler

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5
Q
Which of the following is most important when caring for pediatric patients?
 Developing a friendship
 Staying focused on clinical tasks
 Age-appropriate communication
 Setting clear boundaries
A

Age-appropriate communication

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6
Q

What is a congenital disease?
A disease that is present at birth
A disease that is caused by the environment
A highly contagious disease
Developmental problems caused by poor parenting

A

A disease that is present at birth

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7
Q

What is one way a pediatric unit is set up?
By type of illness or age of patient
By behavior of the patients
By whether or not the child is covered by insurance
By size of patient

A

By type of illness or age of patient

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8
Q
Which set of skills allows children to have greater coordination and balance?
 Mental skills
 Developmental skills
 Physiological skills
 Motor skills
A

Motor skills

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9
Q
Epilepsy creates electrical "bursts" in the brain that cause \_\_\_\_.
 hemorrhages
 strokes
 seizures
 cardiac arrest
A

seizures

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10
Q

Which of the following is NOT true?
Developmental problems are caused by poor parenting
Cerebral palsy involves muscle weakness and poor muscle control.
Spina bifida may require surgery to prevent damage to the spinal cord.
Many children with Down Syndrome have heart defects.

A

Developmental problems are caused by poor parenting

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11
Q
What becomes inflamed and obstructed during an asthma attack?
 Lungs
 Bronchial tubes
 Nasal cavity
 Esophagus
A

Bronchial tubes

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12
Q

Which of the following is true?
Most children are comfortable sleeping in a darkened hospital room.
Speak to adolescents in the same way that you would speak to adults.
School-age children are not typically able to reason and communicate logically.
Make as many decisions as possible for children, so that they can keep their mind off of where they are.

A

Speak to adolescents in the same way that you would speak to adults.

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13
Q

What is the definition of a biological parent?
The person who has legally assumed responsibility for parenting.
The person who assumes the parenting role by marrying a child’s parent.
The person who carries out parenting duties under authority of a legal agency.
The birth parent.

A

The birth parent.

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14
Q
Which of the following is true of adolescent emotional development?
 Comfortable with their bodies
 Confident
 Seek to establish their identities
 Disinterested in physical appearance
A

Seek to establish their identities

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15
Q
Which person is most likely to develop anorexia nervosa?
 A 16-year old girl
 A 52-year old woman
 A 14-year old boy
 A 27-year old man
A

A 16-year old girl

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16
Q

Which of the following is NOT true of pediatric patients?
These patients need to feel safe and secure.
Health care workers are responsible for children’s needs when they are hospitalized.
Children’s only basic needs are to be fed and physically cared for.
Each child is different and will have slightly different needs.

A

Children’s only basic needs are to be fed and physically cared for.

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17
Q
Pollen, certain foods, medications, and bee stings can all cause which of the following?
 Internal bleeding
 Allergic reaction
 Nausea and diarrhea
 Sleepiness
A

Allergic reaction

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18
Q
Which is a correct description of early childhood emotional development?
 Independent and logical
 Unsure and frustrated
 Neutral and passive
 Confident and secure
A

Unsure and frustrated

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19
Q

What should health care workers do if they suspect that a patient has been abused?
Interrogate the patient
Ignore the situation
Notify the proper authorities

A

Notify the proper authorities

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20
Q

How can you help a resident who is having trouble sleeping?
Prepare soup and a sandwich for the resident
Help the patient take a cold shower
Turn extra lights on
Give the patient a back rub

A

Give the patient a back rub

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21
Q

What factor(s) determine whether a person is “old”?
The age of the person
The way a person thinks, feels, and acts
A person’s appearance
The number of visits to medical facilities and medications taken

A

The way a person thinks, feels, and acts

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22
Q

How is the cardiovascular system affected by aging?
The heart becomes more flexible
Fibrous tissue replaces muscle tissue
Output of the heart increases dramatically
The valves of the heart become thin and porous

A

Fibrous tissue replaces muscle tissue

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23
Q
Which aspect of intellectual development may decline in late adulthood?
 Wisdom
 Faith and spirituality
 Memory
 Sensory abilities
A

Memory

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24
Q

Which is a correct description of patients in assisted living facilities?
Patients who are still able to care for themselves
Patients who need rehabilitation
Patients who are in the terminal stage of life
Patients who have chronic conditions

A

Patients who are still able to care for themselves

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25
Q
Which of the following is NOT appropriate for meals in a long-term care facility?
 Be easy to chew and digest
 Include complex carbohydrates
 Have decreased amounts of sugar and fat
 Contain high amounts of cholesterol
A

Contain high amounts of cholesterol

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26
Q

What happens to elderly people as their immune systems wear down?
They become more susceptible to illness.
They lose interest in daily activities.
Their bone mass decreases.
Their speech becomes slow and slurred.

A

They become more susceptible to illness.

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27
Q

An elderly resident, Mrs. Smith, has been very angry and hostile with staff lately. What can you do to help Mrs. Smith?
Just focus on your tasks and avoid talking with Mrs. Smith.
Complain out loud when you are assigned to Mrs. Smith.
Be kind while assisting her and try to talk to her about her frustrations.
Be overly cheerful and kind to let her know that she cannot dampen your mood.

A

Be kind while assisting her and try to talk to her about her frustrations.

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28
Q
Who usually decides which types of activities are suitable for a resident's needs?
 The resident
 Medical assistants
 Physicians
 Recreational therapists
A

Recreational therapists

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29
Q

How does the brain compensate for the decline of body functions?
By creating new synapses
By redirecting blood flow to vital organs
By decreasing pain
By reducing comprehension

A

By creating new synapses

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30
Q
Muscle atrophy can cause which of the following?
 Increase in infection and illness
 Wrinkles and white hair
 Behavior changes
 Decrease in strength
A

Decrease in strength

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31
Q

What is the purpose of an ombudsman?
To assist residents with legal and financial needs
To oversee the quality of local long-term care facilities
To provide for the social and spiritual needs of residents
To create safety plans for emergency situations at long-term care facilities

A

To oversee the quality of local long-term care facilities

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32
Q
Which of the following is NOT a type of geriatric care?
 Hospital
 Assisted living
 Skilled care
 Long-term care facility
A

Hospital

33
Q

Meal delivery programs, home health care and transportation services all aim to help elderly patients how?
Assist with recreational activities
Provide opportunities to meet other seniors
Assist with activities of daily living
Allow elderly patients to feel a sense of achievement

A

Assist with activities of daily living

34
Q

Which of the following is NOT a desirable characteristic of workers in a long-term care facility?
Be patient and caring
Understand the unique needs of elderly patients
Be comfortable with aging and death
Be disrespectful

A

Be disrespectful

35
Q

Why is it important for health care workers to report changes in a patient’s behavior to the supervisor and co-workers?
To address the patient’s needs and concerns
To share funny stories about the patient
To ignore the patient’s frustrations
To avoid having contact with the patient as much as possible

A

To address the patient’s needs and concerns

36
Q
What causes the increased rates of constipation and diverticulosis seen in older adults?
 Decreases ability to absorb nutrients
 Decrease in peristalsis
 Difficulty swallowing
 Decrease in saliva production
A

Decrease in peristalsis

37
Q
At what age do most women experience the start of menopause?
 35 - 40
 40 - 45
 45 - 50
 55 - 60
A

45 - 50

38
Q

What is the purpose of the Resident’s Bill of Rights?
To protect residents in long-term care facilities
To monitor the type of residents that are allowed in long-term care facilities
To protect health care workers in long-term care facilities
To assist elderly patients in finding and affording long-term care

A

To protect residents in long-term care facilities

39
Q

Which of the following is true of patient hygiene?
Assist the patient with a full bath each morning
Patients should be given the opportunity to care for themselves
Partial baths are used to wash only the face and hands
Assume that most patients need help with shaving

A

Patients should be given the opportunity to care for themselves

40
Q

Mr. Munoz is a quiet resident who keeps to himself. As a nurse assistant, what can you do to help him feel more comfortable?
Get to know him by asking him questions about his family and his life.
Ask to be assigned to him more often, as he is a very easy patient.
Keep conversation pleasant but brief, because you do not want to disturb him.
Leave him alone, because most patients enjoy their privacy.

A

Get to know him by asking him questions about his family and his life.

41
Q

Which of the following is true?
The United States will continue to see a decline in the number of elderly citizens.
The majority of elderly people live in long-term care facilities.
Most elderly people are confused and incompetent.
There is an increased demand for facilities and workers to assist the elderly.

A

There is an increased demand for facilities and workers to assist the elderly.

42
Q

What act requires facilities to provide for the mental, physical and social well-being of residents?

A

OBRA

43
Q

You have a coworker who is often overheard yelling at residents and you notice some residents are scared of the coworker. What should you do?
Report the problem, as it could be abuse
Avoid contact with the coworker
Persistently question the residents about the coworker
Try to ignore it

A

Report the problem, as it could be abuse

44
Q
Which of the following is NOT a cause of mental illness?
 Chemical imbalances
 Genetics
 Weak character
 Drugs or substance abuse
A

Weak character

45
Q
Which of the following symptoms are typical of stage 1 Alzheimer's disease?
 Short-term memory loss
 Long-term memory loss
 Seizures
 Inability to speak
 All of the above
A

Short-term memory loss

46
Q

Who has the most interaction with mentally ill patients in medical facilities?
Physicians and psychiatrists
Family members
Nurses and assistants

A

Nurses and assistants

47
Q

If a patient with dementia is on medication, where should the medication be stored?
In a locked area
In the medicine cabinet
In a visible place on a counter or table

A

In a locked area

48
Q

Which is the best way to approach and greet a patient with dementia?
Tap the patient on the shoulder and loudly say, “Hello, Mrs. Walker.”
Approach the patient from the side and quietly say, “Hello, Mrs. Walker.”
Approach the patient from the front and calmly say, “Hello, Mrs. Walker.”

A

Approach the patient from the front and calmly say, “Hello, Mrs. Walker.”

49
Q
What is another name for the emotional high experienced in bipolar disorder?
 Minutia
 Mania
 Mental
 Malignant
A

Mania

50
Q
Which of the following are a state of temporary mental confusion?
 Dementia
 Delirium
 Depression
 All of the above
A

Delirium

51
Q

Which of the following is the most common form of dementia?
Huntington’s disease
Alzheimer’s disease
Parkinson’s disease

A

Alzheimer’s disease

52
Q
Which of the following are the most common mental health problem in older people?
 Dementia
 Delirium
 Depression
 All of the above
A

Depression

53
Q

Why should health care workers never argue or debate with a mentally distressed patient?
Because mentally ill patients should be left alone to solve their problems
Because mentally ill patients are often not able to think logically
Because mentally ill patients are always right

A

Because mentally ill patients are often not able to think logically

54
Q
Which of the following areas are affected by Alzheimer's disease?
 Memory and thinking
 Reasoning and judgment
 Language skills
 Behavior, mood, and personality
 All of the above
A

All of the above ( Memory and thinking; Reasoning and judgment;
Language skills;
Behavior, mood, and personality)

55
Q
Reality orientation is used to help confused patients remain oriented to \_\_\_\_.
 The environment, time, and themselves
 The feelings of others
 The amount of talking they are doing
 All of the above
A

The environment, time, and themselves

56
Q

Eva is a depressed patient who talks to you about her desire to commit suicide. How should you respond?
Be supportive, but do not tell anyone because Eva is entitled to her privacy
Ignore the situation because Eva is just looking for attention
Report the situation to your supervisor and continue to provide caring support

A

Report the situation to your supervisor and continue to provide caring support

57
Q
What is defined as fear of an object, situation, or activity?
 Despair
 Panic
 Phobia
 Depression
A

Phobia

58
Q

What is the best way to handle wandering patients?
Use medication to sedate patients who are prone to wander
Restrain patients when they attempt to wander
Give patients freedom to wander unattended
Allow patients to wander in a safe environment

A

Allow patients to wander in a safe environment

59
Q
Which of the following symptoms are typical of stage 2 Alzheimer's disease?
 Wandering and pacing
 Sundowning
 Hallucinations
 Uncontrollable impulses
 All of the above
A

All of the above (Wandering and pacing;
Sundowning;
Hallucinations;
Uncontrollable impulses)

60
Q

Why is it important to use clocks and calendars in the room of a patient with dementia?
To keep the patient oriented with reality
To keep the patient in a good mood
To make sure the patient is not late for appointments

A

To keep the patient oriented with reality

61
Q
What is defined as the highest level of anxiety?
 Depression
 Phobia
 Panic
 Despair
A

Panic

62
Q
Which type of shoe is most appropriate for Mrs. Gantz, a patient with dementia?
 Dress shoes with a high heel
 Tennis shoes with Velcro straps
 Lace-up walking shoes
 Sandals with a buckle
A

Tennis shoes with Velcro straps

63
Q
Which of the following is NOT a key symptom of schizophrenia?
 Delusion
 Despair
 Paranoia
 Hallucination
A

Despair

64
Q

Philip is trying to get his patient with dementia, Mr. Hoffman, to take a bath. Mr. Hoffman refuses. How should Philip respond?
“It’s for your own good. Come on!”
“You haven’t bathed for 2 days. You really need a bath tonight!”
“Why don’t I just help you wash your face? We can try the bath tomorrow.”
“You’d better take a bath, or I won’t let you watch your favorite TV show.”

A

“Why don’t I just help you wash your face? We can try the bath tomorrow.”

65
Q
Dementia results in the loss of \_\_\_\_.
 Social and cognitive functions
 Physical abilities
 The ability to hear
 Liver and heart function
A

Social and cognitive functions

66
Q
What is the cause of Alzheimer's disease?
 Lack of exercise
 Poor nutrition
 Stress
 The cause is unknown
A

The cause is unknown

67
Q
Which of the following are true of a depressed individual?
 Pursues new hobbies
 Is uninterested in daily activities
 Is typically in a pleasant mood
 All of the above
A

Is uninterested in daily activities

68
Q

According to behavior modification theory, how should a health care worker react when Mr. Lynn takes a magazine from Ms. Thomas’s hands?
Tell Ms. Thomas to let Mr. Lynn keep the magazine
Take away Mr. Lynn’s television privileges
Ask Mr. Lynn to join others in a game of cards
Tell Mr. Lynn that he is a mean person

A

Ask Mr. Lynn to join others in a game of cards

69
Q

What should you do if your speech-impaired patient gets frustrated?
Switch to a new topic and try again later
Leave the patient alone for a while
Encourage the patient to keep trying
Give up and refer the patient to a speech therapist

A

Switch to a new topic and try again later

70
Q
When is mental retardation usually diagnosed?
 Middle childhood
 Early childhood
 Adulthood
 Adolescence
A

Early childhood

71
Q

Which of the following is the best way to present a dinner entrée to a visually impaired patient?
“Here is your meal! It is meatloaf, green beans, and pasta.”
“Mr. Smith, here is your meal. The meatloaf is at 2:00, the green beans are at 6:00, and the pasta is at 10:00.”
“Here is your meal, Mr. Smith. Let me know if you need any help.”

A

“Mr. Smith, here is your meal. The meatloaf is at 2:00, the green beans are at 6:00, and the pasta is at 10:00.”

72
Q
When speaking with a hearing-impaired patient, it is best to \_\_\_\_.
 Shout
 Exaggerate words
 Speak naturally
 Whisper
 All of the above
A

Speak naturally

73
Q

In the morning, you help to escort Miss Alden, a blind patient, to the cafeteria for breakfast. You notice that she is wearing two different shoes. How should you respond?
Inform Miss Alden of the mismatch and offer to help her change shoes.
Laugh at Miss Alden and tell your co-workers about the incident.
Ignore the situation because you do not want Miss Alden to feel embarrassed.

A

Inform Miss Alden of the mismatch and offer to help her change shoes.

74
Q
As a result of a brain injury, a patient cannot speak or understand language. What is the term for this impairment?
 Communicable
 Narcolepsy
 Ambulation
 Aphasia
A

Aphasia

75
Q
What is the degree to which a person is able to become independent and socially responsible according to his or her age and culture?
 Physical disability
 Adaptive behavior
 Emotional growth
 Mental retardation
A

Adaptive behavior

76
Q

Which of the following is the most correct way to give directions to a visually-impaired patient?
“Take a right at the end of the hall. You’ll find the lounge down there.”
“The lounge is at the end of the hall. Go past four doors, and then turn right into the fifth door.”
“The lounge is at the end of the hall on the right.”

A

“The lounge is at the end of the hall. Go past four doors, and then turn right into the fifth door.”

77
Q

Luke has an IQ of 56. With training, will he be able to acquire social and vocational skills?
Yes
No

A

Yes

78
Q

Which is the correct way to greet a visually-impaired patient?
Wait for the patient to acknowledge your presence
Address the patient by name and touch the patient’s arm
Call the patient from the doorway

A

Address the patient by name and touch the patient’s arm

79
Q

What are the two principles of behavior modification?
Reward positive behavior. Redirect negative behavior.
Create positive behavior. Criticize negative behavior.
Praise positive behavior. Punish negative behavior.
Encourage positive behavior. Ignore negative behavior.

A

Reward positive behavior. Redirect negative behavior.